Low Stress Research Articles

Composites with Immobilized Bioactive Spirulina on an Inorganic Substrate (Yellow Clay, Hydroxyapatite, SiO2, TiO2, ZnO).

In order to improve the structural properties of clays and composites of powdered spirulina, clay, nanosilica, hydroxyapatite, TiO2 and ZnO were used as an additive for mechanical processing. As a result, composites with natural nanostructured materials (NNM) are prepared with improved structural properties and bioactivity. The mixtures based on NNM with crystalline kaolinite, clays and admixtures were processed in a knife mill. The materials were characterized using FTIR spectroscopy, nitrogen adsorption and desorption, SEM release of bioactive components (anthocyanin 0,004-0,07 mg/g; chlorophyll 20-29 mg/g), composite toxicity level (below 25%), particle size measurement and surface charge density, zeta potential. Adsorption enthalpies during the formation of an intermolecular complex during the interactions of an anthocyanin molecule with the appropriate component of the composite were also calculated. There are regularities in the characteristics depending on the type of NNM, particle morphology and textural features of solids. The morphological and structural properties of the components changed slighty in the blends because the processing was conducted under relatively low mechanical stress. The morphological, textural and structural characteristics of the composites as well as the transformation to a nanostructured state, assume great bioactive activity of the composites, interesting for practical applications in medicine and cosmetics.

Selection of long-term shear strength parameters for strain-softening geosynthetic interfaces (2023 IGS Rowe Lecture)

The behavior of strain-softening geosynthetic interfaces that can lead to progressive failures in lined containment facilities has been a source of confusion in slope stability evaluations for over 30 years. This paper presents 15 mechanisms that can potentially induce displacements along strain-softening interfaces, along with measures that can be considered to reduce strain-softening displacement. New quantifications of shear strength variability that can be caused by manufacturing, installation, and construction practices are introduced. Guidance and recommendations are given that are applicable to numerical continuum as well as limit-equilibrium approaches to assist in selecting appropriate geosynthetic shear strength parameters for containment facilities that have strain-softening interfaces. While most of the paper focuses on deep-seated critical interfaces for high-normal-stress bottom liners, low-normal-stress veneer covers are also addressed.

Interpersonal Process of Dyadic Coping in Rheumatoid Arthritis: A Perspective From the Australian Rheumatology Association Database.

Dyadic coping, the process of coping that transpires between couples challenged by one partner's illness, is an important predictor of disease adjustment and patient well-being. However, the extent of dyadic coping in rheumatoid arthritis (RA) remains unclear. This study examines the effect of dyadic coping on psychological distress and relationship quality from the perspectives of both participants with RA and their spouses. Participants and their spouses were invited to participate in an online survey study if they were aged ≥ 18 years and had lived together for more than a year. The survey included the Chronic Pain Grade Scale, Dyadic Coping Inventory, Depression Anxiety Stress Scale, and Dyadic Adjustment Scale. Participants and spouses completed the survey independently. The actor-partner interdependence model was used to analyze the dyadic data. One hundred sixty-three couples participated. Our findings showed that participants who reported higher supportive dyadic coping reported lower depression, anxiety, and stress, and higher relationship quality, whereas participants who reported higher negative dyadic coping reported higher depression, anxiety, and stress, and lower relationship quality. Spouses who reported higher supportive dyadic coping reported higher relationship quality, but no effect on depression, anxiety, and stress was observed. In contrast, spouses who reported higher negative dyadic coping reported higher levels of depression, anxiety, and stress, and lower relationship quality. Participants' and spouses' perceptions of supportive and negative dyadic coping closely influenced their psychological distress and relationship quality. Further, having a partner with RA also seemed to affect the spouse, especially when there was a negative dyadic coping pattern.

Investigation into soil ratcheting behind integral bridges using centrifuge modelling

Integral bridges in the UK are commonly designed according to PD 6694-1:2011, with guidance on backfill ratcheting based on experimental data that is limited by testing at a small-scale low-stress state, a lack of abutment foundation and soil below, and a limited range of soil–structure configurations. As integral bridge use increases, there is a need for further understanding of the strain ratcheting mechanism, which can lead to smarter designs that minimise material usage and lifetime maintenance. The suitability of modern centrifuge techniques to simulate ratcheting of soil behind an integral bridge abutment over a design life of thermal loading was investigated. A high-accuracy actuation system was developed and employed in centrifuge testing, with test data provided to demonstrate its capabilities. Surface settlements, deck axial forces and abutment bending moment distributions recorded for various soil–structure combinations were compared, highlighting the sensitivity of soil ratcheting. This work shows that centrifuge modelling can successfully simulate backfill strain ratcheting behind integral abutments over a range of soil–structure configurations. Furthermore, the results suggest that global rotations and base sliding are significant to the overall response, clarifying the importance of modelling at an appropriate stress state with a foundation and the soil below.

Low oxygen environment effect on the tomato cell wall composition during the fruit ripening process

BackgroundOxygen concentration is a key characteristic of the fruit storage environment determining shelf life and fruit quality. The aim of the work was to identify cell wall components that are related to the response to low oxygen conditions in fruit and to determine the effects of such conditions on the ripening process. Tomato (Solanum lycopersicum) fruits at different stages of the ripening process were stored in an anoxic and hypoxic environment, at 0% and 5% oxygen concentrations, respectively. We used comprehensive and comparative methods: from microscopic immunolabelling and estimation of enzymatic activities to detailed molecular approaches. Changes in the composition of extensin, arabinogalactan proteins, rhamnogalacturonan-I, low methyl-esterified homogalacturonan, and high methyl-esterified homogalacturonan were analysed.ResultsIn-depth molecular analyses showed that low oxygen stress affected the cell wall composition, i.e. changes in protein content, a significantly modified in situ distribution of low methyl-esterified homogalacturonan, appearance of callose deposits, disturbed native activities of β-1,3-glucanase, endo-β-1,4-glucanase, and guaiacol peroxidase (GPX), and disruptions in molecular parameters of single cell wall components. Taken together, the data obtained indicate that less significant changes were observed in fruit in the breaker stage than in the case of the red ripe stage. The first symptoms of changes were noted after 24 h, but only after 72 h, more crucial deviations were visible. The 5% oxygen concentration slows down the ripening process and 0% oxygen accelerates the changes taking place during ripening.ConclusionsThe observed molecular reset occurring in tomato cell walls in hypoxic and anoxic conditions seems to be a result of regulatory and protective mechanisms modulating ripening processes.

CmERF1 acts as a positive regulator of fruits and leaves growth in melon (Cucumis melo L.).

Melon (Cucumis melo L.) is an important horticultural and economic crop. ETHYLENE RESPONSE FACTOR1 (ERF1) plays an important role in regulating plant development, and the resistance to multiple biotic and abiotic stresses. In this study, developmental biology, molecular biology and biochemical assays were performed to explore the biological function of CmERF1 in melon. Abundant transcripts of CmERF1 were found in ovary at green-yellow bud (GYB) and rapid enlargement (ORE) stages. In CmERF1 promoter, the cis-regulatory elements for indoleacetic acid (IAA), methyl jasmonate (MeJA), salicylic acid (SA), abscisic acid (ABA), gibberellic acid (GA), light and low temperature responses were found. CmERF1 could be significantly induced by ethylene, IAA, MeJA, SA, ABA, and respond to continuous light and low temperature stresses in melon. Ectopic expression of CmERF1 increased the length of siliqua and carpopodium, and expanded the size of leaves in Arabidopsis. Knockdown of CmERF1 led to smaller ovary at anthesis, mature fruit and leaves in melon. In CmERF1-RNAi #2 plants, 75 genes were differently expressed compared with control, and the promoter regions of 28 differential expression genes (DEGs) contained the GCC-box (AGCCGCC) or DRE (A/GCCGAC) cis-acting elements of CmERF1. A homolog of cell division cycle protein 48 (CmCDC48) was proved to be the direct target of CmERF1 by the yeast one-hybrid assay and dual-luciferase (LUC) reporter (DLR) system. These results indicated that CmERF1 was able to promote the growth of fruits and leaves, and involved in multiple hormones and environmental signaling pathways in melon.

Simulation of stress in a blood vessel due to plaque sediments in coronary artery disease

Atherosclerosis is a cardiovascular disease mainly caused by plaque deposition in blood vessels. Plaque comprises components such as thrombosis, fibrin, collagen, and lipid core. It plays an essential role in inducing rupture in a blood vessel. Generally, Plaque could be described as three kinds of elastic models: cellular Plaque, hypocellular Plaque, and calcified Plaque. The present study aimed to investigate the behavior of atherosclerotic plaque rupture according to different lipid cores using Fluid-Structure Interaction (FSI). The blood vessel was also varied with different thicknesses (0.05, 0.25, and 0.5 mm). In this study, FSI simulation with a cellular plaque model with various thicknesses was investigated to obtain information on plaque rupture. Results revealed that the blood vessel with Plaque having a lipid core represents higher stresses than those without a lipid core. Blood vessels’ thin thickness, like a thin cap, results in more considerable than Von Mises stress. The result also suggests that even at low fracture stress, the risk of rupture due to platelet decomposition at the gap was more significant for cellular plaques.

Effect of PWHT on microstructure and mechanical properties of welded joint of a new Fe-Ni-based superalloy

In this study, the effect post weld heat treatment (PWHT) on microstructural evolution and mechanical properties of weld metal of HT700P alloy with Inconel 617 filler metal was investigated. After welding, columnar grain, dendritic microstructure and segregation of Mo, Co and Ti elements related to the equilibrium distribution coefficient were observed in the weld metal. The PWHT was conducted in both direct-aging treatment with different time and solution treatment with different cooling methods. The results showed that direct-aging treatment had a limit impact on homogenization of weld metal, while microstructural homogenization and elemental segregation were significantly improved after solution treatment and massive M6C and M23C6 carbides precipitated at the grain boundaries and interdendritic region of weld metal. It was found that the elongation at 700 °C of welded joints after solution treatment was relatively increased, which was related to the decrease of residual stress and the precipitation of Mo-rich carbides at the grain boundaries. The fracture occurred in the weld metal presented interdendritic fracture characteristics, and the fracture mechanism for stress relaxation cracking was the strong grain interior induced by the precipitation of γ′ phase, leading to the stress concentration and nucleation of cavities at grain boundaries. After solution treatment, the creep lifetime of furnace cooling was much greater than that of water quenching. The superior creep properties of furnace-cooled joint could be attributed to the lower residual stress and the migration of carbon element in the fusion line, which inhibited the nucleation and aggregation of cavities in the partially melted zone.

Water use and water use efficiency of three Brassicaceae oilseeds under high‐ and low‐yielding environments

AbstractBrassicaceae oilseed crops have proven potential as vegetable oil feedstock for biofuels and food uses. However, meeting a growing demand for vegetable oils for food and industrial uses will require identifying oilseed species that are best suited for various growing environments within a particular region. The objective of this study was to compare growth dynamics, seasonal water use (WU), seed yields, and water use efficiency (WUE) of canola (Brassica napus L.), camelina (Camelina sativa L.), and white mustard (Sinapis alba L.) to determine their suitability under three different environments within the northern Great Plains. Comparisons were made among these species over three growing seasons between 2013 and 2016 at Morris, MN; Mandan, ND; and Sidney, MT, situated along a strong precipitation gradient from east to west. Generally, growing season precipitation was similar at Morris and Mandan, but both were considerably greater than at Sidney. Seasonal WU was similar among these oilseed species at Morris and Mandan but was greatest for camelina at the drier Sidney environment. Canola seed yield was the greatest at Morris and had higher WUE than camelina and white mustard. At Mandan and Sidney, canola and camelina had similar seed yields and WUE, which were generally greater than white mustard. Under abundant moisture and low stress (e.g., Morris), seed yield per millimeter of water used could be maximized by growing canola, while in a drier more stressful environment like Sidney, seed yield per millimeter of water used could be maximized by growing camelina.

Mechanical Properties of Raw Filaments and Printed Specimens: Effects of Fiber Reinforcements and Process Parameters.

Fused Deposition Modeling (FDM) is a well-established manufacturing method for producing both prototype and functional components. This study investigates the mechanical properties of FDM components by material and process-related influencing variables. Tensile tests were conducted on seven different materials in their raw filament form, two of which were fiber-reinforced, to analyze their material-related influence. To cover a wide range from standard to advanced materials relevant for load-carrying components as well as their respective variations, polylactic acid (PLA), 30% wood-fiber-reinforced PLA, acrylonitrile butadiene styrene (ABS), polycarbonate (PC), a blend of ABS and PC, Nylon, and 30% glass-fiber-reinforced Nylon were selected. The process-related influencing variables were studied using the following process parameters: layer thickness, nozzle diameter, build orientation, nozzle temperature, infill density and pattern, and raster angle. The first test series revealed that the addition of wood fibers significantly worsened the mechanical behavior of PLA due to the lack of fiber bonding to the matrix and significant pore formation. The polymer blend of ABS and PC only showed improvements in stiffness. Significant strength and stiffness improvements were found by embedding glass fibers in Nylon, despite partially poor fiber-matrix bonding. The materials with the best properties were selected for the process parameter analysis. When examining the impact of layer thickness on part strength, a clear correlation was evident. Smaller layer thicknesses resulted in higher strength, while stiffness did not appear to be affected. Conversely, larger nozzle diameters and lower nozzle temperatures only positively impacted stiffness, with little effect on strength. The part orientation did alter the fracture behavior of the test specimens. Although an on-edge orientation resulted in higher stiffness, it failed at lower stresses. Higher infill densities and infill patterns aligned with the load direction led to the best mechanical results. The raster angle had a significant impact on the behavior of the printed bodies. An alternating raster angle resulted in lower strengths and stiffness compared to a unidirectional raster angle. However, it also caused significant stretching due to the rotation of the beads.

The 14-3-3 protein nt GF14e interacts with CIPK2 and increases low potassium stress in tobacco

ABSTRACT Potassium (K+) plays a role in enzyme activation, membrane transport, and osmotic regulation processes. An increase in potassium content can significantly improve the elasticity and combustibility of tobacco and reduce the content of harmful substances. Here, we report that the expression analysis of Nt GF14e, a 14-3-3 gene, increased markedly after low-potassium treatment (LK). Then, chlorophyll content, POD activity and potassium content, were significantly increased in overexpression of Nt GF14e transgenic tobacco lines compared with those in the wild type plants. The net K+ efflux rates were severely lower in the transgenic plants than in the wild type under LK stress. Furthermore, transcriptome analysis identified 5708 upregulated genes and 2787 downregulated genes between Nt GF14e overexpressing transgenic tobacco plants. The expression levels of some potassium-related genes were increased, such as CBL-interacting protein kinase 2 (CIPK2), Nt CIPK23, Nt CIPK25, H+-ATPase isoform 2 a (AHA2a), Nt AHA4a, Stelar K+ outward rectifier 1(SKOR1), and high affinity K+ transporter 5 (HAK5). The result of yeast two-hybrid and luciferase complementation imaging experiments suggested Nt GF14e could interact with CIPK2. Overall, these findings indicate that NtGF14e plays a vital roles in improving tobacco LK tolerance and enhancing potassium nutrition signaling pathways in tobacco plants.

A Study of Microstructural Tensile and Fatigue Properties Coupled with Digital Image Correlation of Hybrid Manufactured Inconel 718 Parts by Extrusion and Powder Bed Fusion

To overcome challenges associated with additive manufacturing (AM), a combination of AM and conventional manufacturing (CM) can be explored, enabling the production of hybrid structures. Nonetheless, realizing aerospace hybrid structures requires investigation into the process–structure–properties relationships of the AM and CM material and the interface zone between them. Herein, Inconel 718 is deposited onto extruded bars of the same material by powder bed fusion (PBF). The interface zone from the CM zone to the PBF zone is investigated using destructive and nondestructive testing. It is found that fractures during tensile tests occur in the CM zone. The PBF zone proves to be stronger than the CM zone (average yield strength of 1295 and 1167 MPa, respectively). A higher strength of PBF parts is related to the finer microstructure of δ‐phase precipitates and dendrite cell structure. The fatigue limit of the hybrid samples is high (Sa = 305 MPa, R = 0.1). Coupled fatigue and digital image correlation at the highest stress amplitude show distinctive plastic flow dominating the CM zone. In reverse, fracture of hybrid parts at lower stress amplitudes forms preferentially in the PBF zone because of process‐related defects (gas pores and lack of fusion).

Attitudes Toward Caring for the Oldest-Old and Associated Factors.

To examine the knowledge, stress levels, and attitudes of clinical nurses regarding care for individuals considered the oldest-old (i.e., aged ≥80 years) and to identify related factors. In this descriptive cross-sectional study, data were collected via an online structured questionnaire survey administered to 128 clinical nurses. Participants had low levels of knowledge about the oldest-old with hearing impairments or mental health problems (e.g., depression, anxiety, delirium), and high levels of stress. Factors influencing attitudes toward the oldest-old were graduate or higher educational level (p = 0.002), ≥10 years of work experience (p = 0.049), and lower stress (p = 0.033). The explanatory power of the regression model was 18.1%. Further research and development programs should aim to promote positive attitudes toward care for older adults among nurses and develop methods to reduce and better manage stress when caring for these individuals. [Journal of Gerontological Nursing, 50(6), 35-43.].

Association of higher baseline stress and pain with clinical outcomes: Secondary analysis from Alliance A011502.

11016 Background: A011502 is a phase 3 randomized double-blind clinical trial that enrolled high-risk nonmetastatic breast cancer (BC) patients (pts) and randomized pts to aspirin 300 mg daily vs. placebo. There was no significant difference in invasive disease-free survival (iDFS) between the two arms. A secondary objective was to determine the association of inflammation-affiliated factors (stress, depression, poor sleep quality and pain) with iDFS and overall survival (OS). We hypothesized that these baseline factors are associated with worse clinical outcomes. Methods: At baseline, 2735, 2720, 2422 and 2610 pts completed Perceived Stress Scale (PSS), Brief Pain Inventory (BPI), Pittsburgh Sleep Quality Index (PSQI) and Center for Epidemiologic Studies Depression Scale Revised (CESD-R) respectively. Stress was categorized with PSS scores: low (0-13), moderate (14-26) or high stress (27-40). Pain was categorized with BPI scores: none/mild (0-3) or moderate/severe (≥4). Sleep quality was categorized with PSQI scores: good (0-5) or poor ( > 5).Depression was categorized with CESD-R scores: no depression (0-15) or depression (≥16). Associations between the measures of interest and outcomes were performed with multivariable Cox models controlling for age, body mass index, time since diagnosis, race, ethnicity, hormone receptor status and treatment arm. Results: Median follow up was 35 months. The associations from multivariable Cox model are shown in Table 1. Pts who reported high PSS had significantly worse iDFS and (non-significant) worse OS. Moderate/severe average (avg) pain was significantly associated with worse iDFS and OS. Poor sleep quality and depression were associated with worse iDFS and OS but not statistically significant. Conclusions: Pts reporting higher stress and pain at baseline had worse outcomes. We acknowledge that both pain and stress may be related to other non-cancer issues (chronic comorbidities). Our study highlights the need for clinical trials to consider including questionnaires to assess pt-reported outcomes. Future studies are warranted to determine if measures to decrease pain and stress would improve BC outcomes. U10CA180821, U10CA180882, UG1CA233196; https://acknowledgments.alliancefound.org . NCT02927249: Clinical trial information: NCT02927249 . [Table: see text]

Selected Beneficial Microbes Alleviate Salinity Stress in Hydroponic Lettuce and Pak Choi

Hydroponics is widely used in greenhouse and vertical farming production because these facilities can precisely control environmental conditions such as lighting, temperature, and vapor pressure deficit. However, the fertilizer solutions have a short life span, and they often do not have adequate microbial populations to enhance plant growth. Previous studies have shown the potential of beneficial microbes to promote plant production and alleviate abiotic and biotic stressors in the field, and studies on their use in controlled environments such as greenhouses and vertical farms are limited in the literature. In this study, we selected several plant growth promoting microbes (PGPMs) and tested their effects on alleviating salinity stress in ‘Rex’ lettuce (Lactuca sativa) and ‘Red Pac’ pak choi (Brassica chinensis) grown in deep water culture hydroponics. Our goal was to use one stressor, salinity, that induces profound symptoms in plant morphology. A three-cycle study was conducted using five PGPMs [Bacillus, Glomus, Lactobacillus, Trichoderma, and Bacillus/Pseudomonas/Trichoderma (B/P/T) mix] and two salinity levels [no salinity and salinity treatment, with 120 mM, 40 mM, and 80 mM sodium chloride (NaCl) solution used for the first, second, and third cycles, respectively]. We measured the effects of PGPMs and salinity on plant growth and quality and the solution pH and electrical conductivity (EC). Salinity stress decreased lettuce and pak choi leaf area and shoot fresh weight and increased plant leaf chlorophyll and anthocyanin contents with increased solution EC. Under high-salinity stress (120 mM NaCl), the addition of Trichoderma reduced pak choi leaf area and fresh weight but increased solution pH, whereas under low salinity stress (40 mM NaCl), Trichoderma increased pak choi leaf chlorophyll content. Under moderate-salinity stress (80 mM NaCl) condition, the addition of Glomus sp. increased lettuce fresh weight and leaf area, and B/P/T mix increased pak choi leaf area. In conclusion, using the selected PGPMs in low to moderate-salinity stress could increase lettuce and pak choi growth and quality parameters. These results have some practical applications in the future when more saline water is used for production.

Psychological Stress in Parents of Children with Autism Spectrum Disorder

Purpose: This study investigated the relationship between parents' educational level, child's birth order within the family, and family size with psychological stress in parents of children with Autism Spectrum Disorder (ASD). Methods: A cross-sectional study was conducted in Ho Chi Minh City, Vietnam. Parents of children with ASD were recruited through convenience sampling at Hospital (n = 230). The Perceived Stress Scale (PSS) assessed psychological stress. Independent-sample t-tests and one-way ANOVA were used to analyze the data. Results: The average score for the PSS among parents with children diagnosed with ASD was 19.83±6.13. Parents with higher educational attainment reported lower psychological stress compared to those with lower degrees. Parents of firstborn children diagnosed with ASD experienced greater stress than parents of children diagnosed later. Parents with one child with ASD reported higher stress compared to parents with two or three children. No significant difference in stress levels was observed between mothers and fathers. Conclusion: This study highlights the influence of educational level, child's birth order, and family size on parental stress in families with ASD children. These findings inform the development of targeted support strategies to create a more supportive environment for families coping with ASD.

Effect of casozepine administration on stress in dogs during a veterinary examination – a randomized placebo-controlled trial

The aim of the study was to investigate the stress-reducing effect of a casozepine before a veterinary examination in dogs. It should be examined whether the dogs are less stressed during a standardized veterinary examination after an oral application of casozepine over 2 days and whether the administration has an influence on the salivary concentrations of the stress hormones vasopressin and cortisol.Across the study group (n=36), a significantly lower stress score (P=0.0026) and lower mean (P=0.01) and maximum (P=0.024) pulse rates were seen at follow-up after casozepine administration, in contrast to the placebo group (n=26). Salivary vasopressin concentrations increased during follow-up in the placebo group (P=0.04), whereas they remained the same in the casozepine group. Cortisol concentrations increased during follow-up in the casozepin group (P=0.01). The results indicate that although dogs in both groups remained excited at follow-up, short-term casozepine administration before a veterinary visit had a weak stress-reducing effect in dogs based on subjective stress scoring and pulse rate.

Temporal dynamics of Grime's CSR strategies in plant communities during 60 years of succession.

Grime's competitive, stress-tolerant, ruderal (CSR) theory predicts a shift in plant communities from ruderal to stress-tolerant strategies during secondary succession. However, this fundamental tenet lacks empirical validation using long-term continuous successional data. Utilizing a 60-year longitudinal data of old-field succession, we investigated the community-level dynamics of plant strategies over time. Our findings reveal that while plant communities generally transitioned from ruderal to stress-tolerant strategies during succession, initial abandonment conditions crucially shaped early successional strategies, leading to varied strategy trajectories across different fields. Furthermore, we found a notable divergence in the CSR strategies of alien and native species over succession. Initially, alien and native species exhibited similar ruderal strategies, but in later stages, alien species exhibited higher ruderal and lower stress tolerance compared to native species. Overall, our findings underscore the applicability of Grime's predictions regarding temporal shifts in CSR strategies depending on both initial community conditions and species origin.

Daily Time-Use Patterns and Quality of Life in Parents: Protocol for a Pilot Quasi-Experimental, Nonrandomized Controlled Trial Using Ecological Momentary Assessment.

The gender gap in time use and its impact on health and well-being are still prevalent. Women work longer hours than men when considering both paid and unpaid (eg, childcare and chores) work, and this gender disparity is particularly visible among parents. Less is known about factors that could potentially mediate or moderate this relationship (eg, work-family conflict and gender role beliefs). Ecological momentary assessment (EMA) allows for the documentation of changes in momentary internal states, such as time use, stress, or mood. It has shown particular validity to measure shorter-term activities (eg, unpaid work) and is thus useful to address gender differences. The feasibility of the daily EMA surveys in a parent sample will be examined. The associations between time use, well-being, and stress will be examined, along with potential moderating and mediating factors such as gender, gender role beliefs, and work-family conflict. Finally, the act of monitoring one's own time use, well-being, and stress will be examined in relation to, for example, the quality of life. We conducted a quasi-experimental, nonrandomized controlled trial with 3 data collection methods, namely, online questionnaires, EMA surveys, and qualitative interviews. The intervention group (n=64) will participate in the online questionnaires and EMA surveys, and a subsample of the intervention group (n=6-17) will also be invited to participate in qualitative interviews. Over a period of 1 week, participants in the intervention group will answer daily EMA surveys (4 times per day). In contrast, the control group (n=17) will only participate in the online questionnaires at baseline and after 1 week. The following constructs were surveyed: sociodemographic background (eg, age, gender, and household composition; baseline questionnaire); mediators and moderators (eg, gender role beliefs and work-family conflict; baseline and follow-up questionnaires); well-being, quality of life, and trait mindfulness (baseline and follow-up questionnaires); momentary activity and well-being, as well as state mindfulness (EMA); and feasibility (baseline and follow-up questionnaires as well as interviews). We anticipate that participants will regard the daily EMA as feasible. Particular daily time-use patterns (eg, high paid and unpaid workload) are expected to be related to lower well-being, higher stress, and health-related quality of life. These associations are expected to be moderated and mediated by factors such as gender, gender role beliefs, work-family conflict, and social support. Participants in the intervention group are expected to show higher values of mindfulness, well-being, health-related quality of life, and lower stress. Patient recruitment started in November 2023 and ended in mid April 2024. Data analysis commenced in mid April 2024. This study aims to provide valuable insights into the feasibility of using EMAs and the potential benefits of activity tracking in various aspects of daily life. Open Science Framework 8qj3d; https://osf.io/8qj3d. PRR1-10.2196/54728.

Longitudinal trajectories of stress and positive aspects of dementia caregiving: Findings from the IDEAL programme.

Understanding what influences changes over time in caregiver well-being is important for the development of effective support. This study explores differences in trajectories of caregiver stress and positive aspects of caregiving (PAC). Caregivers of community-dwelling individuals with mild-to-moderate dementia at baseline from the IDEAL cohort were interviewed at baseline (n=1,203), 12-months (n=917) and 24-months (n=699). Growth mixture models identified multiple growth trajectories of caregiver stress and PAC in the caregiver population. Associations between study measures and trajectory classes were examined using multinomial logistic regression and mixed-effects models. Mean stress scores increased over time. A four-class solution was identified: a 'high' stable class (8.3%) with high levels of stress, a 'middle' class (46.1%) with slightly increasing levels of stress, a 'low' class (39.5%) with initial low levels of stress which slightly increased over time, and a small 'increasing' class (6.1%) where stress level started low but increased at a steeper rate. Mean PAC scores remained stable over time. A five-class solution was identified: three stable classes ('high', 15.2%; 'middle', 67.6%; 'low' 9.3%), a small 'increasing' (3.4%) class and one 'decreasing' class (4.5%). For stable classes, positive ratings on study measures tended to be associated with lower stress or higher PAC trajectories, and vice versa. Those with 'increasing' stress also had worsening trajectories of several study measures including depression, relationship quality, competence and ability to cope. The findings highlight the importance of identifying caregivers at risk of increased stress and declining PAC and offering them targeted support.